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无荨麻疹的药物性血管性水肿:一例报告

Drug-Induced Angioedema Without Urticaria: A Case Report.

作者信息

Raikar Shrinivas R, G Sreeraj, Sneha Sneha, R Janarthanan

机构信息

Pharmacology, Bijapur Lingayat District Educational University (BLDE Deemed to be University) Shri B. M. Patil Medical College Hospital and Research Centre, Vijayapura, IND.

出版信息

Cureus. 2024 Jul 13;16(7):e64452. doi: 10.7759/cureus.64452. eCollection 2024 Jul.

Abstract

Non-steroidal anti-inflammatory drugs (NSAIDs) are widely prescribed for various conditions but are associated with numerous adverse drug reactions (ADRs). Understanding these ADRs is necessary to reduce morbidity and mortality. NSAID-induced angioedema, although rare, can be life-threatening and is often due to increased leukotriene production from COX pathway inhibition. Mast cells and basophil degranulation play vital roles in its pathogenesis. Prompt recognition and immediate cessation of the culprit drug, along with the administration of corticosteroids and antihistamines, are essential. Here, we report a case of angioedema caused by diclofenac administration, which needs prompt vigilance and a rapid therapeutic response.

摘要

非甾体抗炎药(NSAIDs)被广泛用于治疗各种病症,但会引发众多药物不良反应(ADR)。了解这些不良反应对于降低发病率和死亡率至关重要。NSAID 诱导的血管性水肿虽然罕见,但可能危及生命,且通常是由于 COX 途径抑制导致白三烯生成增加所致。肥大细胞和嗜碱性粒细胞脱颗粒在其发病机制中起重要作用。迅速识别并立即停用致病药物,同时给予皮质类固醇和抗组胺药,至关重要。在此,我们报告一例因服用双氯芬酸引起的血管性水肿病例,这需要迅速警惕并做出快速治疗反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed7/11318077/82494514cdab/cureus-0016-00000064452-i01.jpg

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